Untitled_2486

Applicant IL
State: {Applicant State:2} Date of Application: 07/14/2019 Referred by: Other
First name: {First Name:98} Last name: {Last Name:97} First name 2: {First Name 2:94} Last name 2: {Last Name 2:93}
Street: {Street Address:3}
City: {City:4} State: {State:5} Zip: {Zip:6}

Ages interested in:
 0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

Other preferences:

Previous dog owner?
 Yes
 
Dog 1
 
Dog 1 name:
 {Dog Name (Most recent/ current first):24}
 
Dog description:
 {Description of Dog:25}
 
How long owned?
 {Length of time owned:26}
 
Where is this dog now?
 {Where is this dog now? (Explain if you no longer have the dog):37}
  Dog 2
 
Dog 2 name:
 {Dog Name (Most recent/ current first):30}
 
Dog description:
 {Description of Dog:33}
 
How long owned?
 {Length of time owned:35}
 
Where is the dog now?
 {Where is this dog now? (Explain if you no longer have the dog):39}
  Dog 3
 
Dog 3 name:
 {Dog Name (Most recent/ current first):29}
 
Dog description:
 {Description of Dog:32}
 
How long owned?
 {Length of time owned:36}
 
Where is dog now?
 {Where is this dog now? (Explain if you no longer have the dog):27}
  Dog 4
 
Dog 4 name:
 {Dog Name (Most recent/ current first):28}
 
Dog description:
 {Description of Dog:31}
 
How long owned?
 {Length of time owned:34}
Where is this dog now? {Where is this dog now? (Explain if you no longer have the dog):38}

Who is this dog for?

 Both of us, we are married.

Why do you want a Pembroke?
 My husband grew up with one. They are very loyal, loving dogs with good temperments. They are one of the cutest breeds around.

Activities planned with Pembroke:
 Walks, short jogs, training, and fetch. We previously had a 14 yr old lab retriever that I had since she was a puppy. My husband would play hid and seek with her around the house. My husband also works nights so I would take them with me to my parents house, I visit with my family often while he works.

Aware that Pembrokes are busy, noisy dogs?
 Yes

Money for basic care?

 Yes

Money for unforeseen medical expenses?
 Yes

Willing to house train?
 Yes
Willing to do formal training? Yes

Do you have a veterinarian?

 Yes

Vet contact info:
 {If yes, please provide contact information including the vet’s name, clinic name, street address, city, state, zip, and phone. Also include the website if there is one.:52}

Will handle mistakes Pembroke makes like this: 		I would say no, try to point out the mistake to them while saying now, and then reward them when they don't make that mistake again. Its important to use positive reinforcement with dogs rather than fear tactics.

Discipline:
 It all depends on the behavior we are trying to correct. Anything from no in a stern voice to putting them in a crate for a short period of time.

Where would Pembroke spend the majority of the time:
 In our house or out in the yard with us. I would never leave my dog outside over night or for any prolonged amount of time.

Discipline:
 It all depends on the behavior we are trying to correct. Anything from no in a stern voice to putting them in a crate for a short period of time.
Where would Pembroke spend the majority of the time: In our house or out in the yard with us. I would never leave my dog outside over night or for any prolonged amount of time.

House dog or outside dog?

 House dog

People at home during the day?
 I work during the day but only 5 min away so I come home for lunch every day. My husband works nights so usually one of us is always home.

Where would dog eat?
 Their food and water bowl would be on the dining room floor.

Where would dog sleep:
 In their dog bed on the floor of our bedroom.

Play & exercise:
 My husband and I are active healthy people and we take our dogs with us on our adventures. They would get plenty of time outdoors with us, possibly doggie day care a couple days a month, and we would play with them on a daily basis.

How will you exercise your dog?
 Both on leash and restrained to the yard

Fenced yard?

 Yes, I have a fenced in yard.

Willing to pick up dog waste?
 Yes, I will clean up after my dog.

Willing to use a crate?
 It is a tall privacy fence with a bedding border around the base.

Living arrangements:
 Own home

Landlord info:
 {If you rent/lease your home, please list the name, telephone number and email address of your landlord. State “Not Applicable” if you own your own home.:67}

May we contact your landlord?

Lease allow dogs:

Landlord permission:

Restrictive covenants?
 Not applicable

Breed/size restrictions?
 No

Description of yard:

 We have a fenced in medium sized yard, with a garage, ground level patio, and plants. We will hopefully be buying the lot next to us in a few months.

Household members:
 {Describe all the people who live in your home, include names, ages and interests. For example, Mary Smith, 29, Enjoys cooking, dog training, gardening and running.:75}

Everyone in household agrees about adopting a corgi?
 Yes, everyone agrees and wants to adopt a Pembroke Welsh Corgi.

May we do a home visit?

 Yes, I will allow LPWCR representatives to inspect my home prior to allowing me to adopt a Pembroke.

Who will be responsible for the adopted corgi’s care?
 Elizabeth

Willing to train children?
 Our son, my step son, it a big animal lover and respects all animals.

Any allergies?

 No one is allergic.

Current pets:

{Please list and describe all of the pets that currently live in your home, including the name, type, age, sex and whether it is neutered. For example, Lenny, komodo dragon, 3 years old, not neutered.:80}

Current pets dog friendly?

 Yes, all of our current pets are friendly toward dogs.

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 We had to put our senior dog to sleep this past winter. She had bad hip dysplasia and we had been having health issues for approximately 2 yrs. I spared no expense trying to make her comfortable and prolong her life, but it got to the point where she no longer had any quality of life. I had my samantha for almost her entire life.

Lifetime commitment to Pembroke?

 Yes, I am willing to commit to this dog for the rest of its life.

Return to Lakeshore if unable to care for Pembroke?
 Yes, I will only surrender my adopted corgi to LPWCR if I am unable to care for it.

Understand no guarantees?

 Yes, I understand that there are no guarantees regarding the condition, health, behavior or personality of the Pembroke I adopt.

Carefully considered the pluses and minuses of adopting a pet?
 Yes, I have carefully thought out my decision to adopt a Pembroke and am willing to deal with the consequences.

Personal references:
 {Personal References. Please list two people who know your family well, but who are not related to you (No moms, grandmas, sisters, etc) who will attest to the fact that you are a responsible, dedicated pet owner. Include the name of the person, their phone number(s), email and relationship you have with that person. For example, Mary Smith, 123-343-4444, 123-333-5767, marys@gmail.com, friend.:87}